What cognitive tests can show — and what they can't

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What cognitive tests can show — and what they can't
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President Joe Biden is under pressure to undergo cognitive testing even though his physician says he gets, and passes, an annual neurologic exam.

FILE - President Joe Biden, speaks during a presidential debate hosted by CNN with Republican presidential candidate former President Donald Trump, June 27, 2024, in Atlanta. Political opponents, armchair pundits and even nervous supporters are demanding that President Joe Biden undergo cognitive testing after his dismal debate performance – even though his physician says he gets, and passes, an annual neurologic exam.

A good score usually is good news. But the highly educated especially tend to be good test-takers even if cognitive trouble is starting to brew. So if someone scores OK yet they, a family member or the doctor sees some day-to-day concern, more testing still could be warranted.When and how often should cognitive screenings be done?

Galvin wouldn’t discuss Biden or Trump because he hasn’t examined them — but said that generally it’s a good idea for seniors to get checked yearly to spot changes. It’s much like how doctors don’t assume your blood pressure’s still fine, they measure it.Cognitive screenings are “pencil and paper tests” usually handled by primary care doctors, while neurologic exams generally are performed by a specialist, Galvin said.

After an exhaustive interview of the patient and any accompanying family members, the neuropsychologist goes through tests and tasks designed to check specific brain functions – intelligence, memory, verbal ability, problem-solving and reasoning skills, visual and auditory responses, emotion and mood. They may use puzzles, objects to rearrange, or drawing and writing tests.

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